HomeMy WebLinkAbout195874 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 363887 Page 1 of 1
ONE CIVIC SQUARE CHRIS COMMONS CHECK AMOUNT: $27.00
y� CARMEL, INDIANA 46032 3871 CARWINION WAY
CARMEL IN 46032 CHECK NUMBER: 195874
CHECK DATE: 3/29/2011
DEP ARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 27.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 591498
Payment Date: 03/16/11
Household 4481
Monon Community Center Chris Commons Hm Ph: (317)471 -0253
Carmel IN 46032 3871 Carwinion Way Wk Ph: (317)409 -2601
Carmel IN 46032 Cell Ph:
ccommons@escient.com
(317)848 -7275 commons @escient.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 27.00
Enrollee Name: Allie Commons Fees Tax _Discount Prev Paid Cur Paid Amount Due
Activity Number: 317800 -03 Community CPR- Adult 0.00 0.00 0.00 0.00 0.00
Enrollment Date. 03/07/2011 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Conference Room East Class Dates: 03/19/2011 to 03/19/2011
Monon Community Cntr 8:OOA to 4:30P
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: Taking challenge course instead
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/16/11 13:53:31 by LWW FEES CHANGED ON CANCELLED ITEMS 27.00
?T NET�AMOUNT 'FROM °CANCELLED�ITEMS: 27;00
'.'.TOTAL`AMOUNT REFUNDED
-2740`;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 27.00 Made By REFUND FINAN With Reference Check
All refunds are subject to State Board of Accounts claim procedure and may to -6 weeks to process. A check will be
issued. i ash o redit card refunds.
Authorized ffigZture Date A zed 5' nature Date
16%. 6.4 5564CP
Hop on over to West Park for our annual Children ?s and Doggie Egg Hunts! The hunts will be filled with egg citing activities.
Children will be divided into their appropriate age groups: 0 -2 years, 3 -5 years, 6 -8 years, and 9 -11 years. Dogs will be divided
based on weight 0 -25 Ibs and 26+ lbs. All dogs are required to be on a leash at all times. Both events are held outside, rain or
snow. There is no online or pre registration; you must register the day of.
Saturday, April 16 7
Children's 10:30am, $1 /child
Doggie 11am, $3 /dog
West Park, 2700 W 116th Street k MAR
2011
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
Commons, Chris
Date Due
3871 Carwinion Way
Carmel, IN 46032
Invoice Invoice Description
or note attached invoice(s) or bill(s)) Amount
Date Number 27.00
3!16!11 591498 Refund
Total 27.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Commons, Chris Allowed 20
3871 Carwinion Way
Carmel, IN 46032
In Sum of
27.00
ON ACCOUNT OF APPROPRIATIONIO.R
109 Monon Center nr
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -50 591498 4358400 27.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Mar 2011
Signature
27.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund